| NPI | 1639369226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME 102564) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: LA MD.200507) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2012-02-17 |