| NPI | 1568454064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60834483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60834483) |
| 207RI0008X Internal Medicine, Hepatology (Licence: NJ 25MA09332700) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2023-02-23 |