| NPI | 1932519097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: WA OP61167040) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA OP61167040) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2021-08-16 |