| NPI | 1487736054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VT 042-0009566) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: VT 042-0009566) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |