| NPI | 1790123321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: UT 11722162-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-255136) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 11722162-1205) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 264982) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-05-22 |