| NPI | 1730164260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 27561) |
| Additional Taxonomies | 207RI0008X Internal Medicine Hepatology (Licence: MN 46140) |
| 207RI0008X Internal Medicine Hepatology (Licence: NV 10547) | |
| 207RI0008X Internal Medicine Hepatology (Licence: UT 187577-1205) | |
| 207RI0008X Internal Medicine Hepatology (Licence: AZ 27561) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-10-05 |