| NPI | 1669684643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0116017619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 23219) |
| 207RI0008X Internal Medicine Hepatology (Licence: VA 0116017619) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2019-10-11 |