| NPI | 1518099654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 5030) |
| Additional Taxonomies | 207RT0003X Internal Medicine Transplant Hepatology (Licence: AZ 5030) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-10-13 |