NPI | 1558326207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD459564) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D63114) |
207RI0008X Internal Medicine, Hepatology (Licence: MD D63114) | |
Enumeration Date | 2006-04-18 |
Last Update Date | 2020-06-11 |