| NPI | 1720035272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: FL ME120023) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME120023) |
| 207R00000X Internal Medicine (Licence: FL ME120023) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2016-04-20 |