| NPI | 1083663819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME90434) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: FL ME90434) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2012-05-17 |