| NPI | 1689998874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60579501) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: WA MD60579501) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2021-04-16 |