| NPI | 1013048057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MI 4301 052861) |
| Additional Taxonomies | 207RI0008X Internal Medicine Hepatology (Licence: MI 4301052861) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-12-23 |