| NPI | 1720004104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME37472) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX FTL 41438) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: FL ME37472) | |
| 207R00000X Internal Medicine (Licence: FL ME37472) | |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: FL ME37472) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-06-16 |