| NPI | 1750369559 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: MA 152072) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 152072) | 
| Enumeration Date | 2006-01-03 | 
| Last Update Date | 2011-04-13 |