| NPI | 1790774677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME118433) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME93230) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 064948) | |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: FL ME118433) | |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: GA 064948) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2017-02-28 |