| NPI | 1063473569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 58011) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD417825) |
| 207RI0008X Internal Medicine, Hepatology (Licence: PA MD417825) | |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2022-05-26 |