| NPI | 1992915342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 65061) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35088998) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 46701) | |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: WI 65061) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-02-05 |