NPI | 1952324600 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY C0398) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 12521) |
207RT0003X Internal Medicine, Transplant Hepatology (Licence: KY C0398) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2022-02-23 |