| NPI | 1124580733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: FL ME180801) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME180801) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2026-07-14 |