| NPI | 1568805091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101260327) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: VA 0101260327) |
| 207R00000X Internal Medicine (Licence: VA 0101260327) | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2026-07-30 |