| NPI | 1427153501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IA 36863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 36863) |
| 207RI0008X Internal Medicine Hepatology (Licence: IA 36863) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-03-09 |