| NPI | 1649273871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME0092231) |
| Additional Taxonomies | 207RT0003X Internal Medicine Transplant Hepatology (Licence: FL ME92231) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2021-03-19 |