| NPI | 1770574774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301093943) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 220213) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 220213) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301093943) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: MA 220213) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2012-04-19 |