| NPI | 1992711469 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 8459) | 
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: NH 8459) | 
| Enumeration Date | 2006-08-01 | 
| Last Update Date | 2011-09-09 |