| NPI | 1679628317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U4959) |
| Additional Taxonomies | 207RI0008X Internal Medicine Hepatology (Licence: CA 133515) |
| 207R00000X Internal Medicine (Licence: MI 4301084482) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: MI 4301084482) | |
| 207RI0008X Internal Medicine Hepatology (Licence: MI 4301084482) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: NV 15951) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2023-07-13 |