| NPI | 1053396572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL me135670) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 51337) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 190318) | |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: FL ME135670) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: FL ME135670) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: NY 190318) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2019-11-06 |