| NPI | 1497989719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: UT 10552711-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.010554) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA OP60636579) | |
| 207R00000X Internal Medicine (Licence: WA OP60636579) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 34 010554) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2021-11-12 |