| NPI | 1831155308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 20542) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 31854) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 31854) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: TN 31854) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-07-03 |