| NPI | 1841350832 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 174400000X Specialist (Licence: CA G66113) | 
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: CA G66113) | 
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G66113) | |
| Enumeration Date | 2006-12-11 | 
| Last Update Date | 2019-07-23 |