| NPI | 1669412870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 668) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M1759) |
| 207RI0008X Internal Medicine, Hepatology (Licence: TX M1759) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-04-08 |