| NPI | 1518196641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: NC 2013-00889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD H0066423) |
| 207RH0000X Internal Medicine, Hematology (Licence: LA DO.00267) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2017-11-06 |