| NPI | 1659339901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CT 49700) |
| Additional Taxonomies | 207RT0003X Internal Medicine Transplant Hepatology (Licence: CT 49700) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2011-08-10 |