| NPI | 1417173378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 36384) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 20070312) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: LA MD.204530) | |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: LA MD.204530) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-03-18 |