| NPI | 1811187925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: FL 10055) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 10055) |
| 207R00000X Internal Medicine (Licence: FL OS10055) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2011-12-01 |