| NPI | 1770537573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 37369) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: AL 19230) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-07-19 |