| NPI | 1174964878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD219425) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: WA MD60752410) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60752410) | |
| 207R00000X Internal Medicine (Licence: WA MD60752410) | |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: WA MD60752410) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2024-08-07 |