| NPI | 1912912676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: WV 1200) |
| Additional Taxonomies | 207RI0008X Internal Medicine Hepatology (Licence: WV 1200) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2022-04-18 |