| NPI | 1760467898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 20729) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NV 11244) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: MN 32956) | |
| 207RI0008X Internal Medicine Hepatology (Licence: FL 59,917) | |
| 207RI0008X Internal Medicine Hepatology (Licence: MN 32,956) | |
| 207RI0008X Internal Medicine Hepatology (Licence: AZ 20729) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-09-08 |