| NPI | 1679538052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 21932) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: WV 21932) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |