| NPI | 1922078930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MA 81467) |
| Additional Taxonomies | 207RI0008X Internal Medicine Hepatology (Licence: MA 81467) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-08 |