| NPI | 1710102959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60290538) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: MA 219053) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A112704) | |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2018-05-02 |