| NPI | 1659503118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 54038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP178) |
| 207R00000X Internal Medicine (Licence: VA 0101260498) | |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: KY 54038) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2024-06-07 |