| NPI | 1750325957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 37647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 46655) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: MN 46655) | |
| 207RI0008X Internal Medicine Hepatology (Licence: AZ 37647) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-10-05 |