| NPI | 1215515473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 351534) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: MD D0100499) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2026-06-19 |