| NPI | 1184779415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD430800) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: TX M5704) |
| 207RI0008X Internal Medicine, Hepatology (Licence: NJ 25MA08117400) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD430800) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: PA MD430800) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2021-03-22 |