| NPI | 1790915858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX p3616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-056043) |
| 207RI0008X Internal Medicine, Hepatology (Licence: TX p3616) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2017-02-20 |