| NPI | 1477623650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101047800) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: VA 0101047800) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2018-02-26 |