| NPI | 1104898311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: NY 253593) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 253593) |
| 204F00000X Transplant Surgery (Licence: NY 253593) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2012-05-14 |