| NPI | 1962484345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IA 20254) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 20254) |
| 207RI0008X Internal Medicine Hepatology (Licence: IA 20254) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-12-18 |