| NPI | 1649569393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61259570) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2018008784) |
| 207RI0008X Internal Medicine, Hepatology (Licence: MO 2018008784) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2022-03-24 |