NPI | 1861564304 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 89555) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 19593) |
207RT0003X Internal Medicine, Transplant Hepatology (Licence: TN 19593) | |
207RT0003X Internal Medicine, Transplant Hepatology (Licence: PA MD419618) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2023-06-14 |