| NPI | 1124235015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: CT 051778) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 051778) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-05-07 |