| NPI | 1629054820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0008X Internal Medicine Hepatology (Licence: MA 224146) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MA 224146) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2017-10-16 |