| NPI | 1215910187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 171345) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G71057) |
| 207RI0008X Internal Medicine, Hepatology (Licence: FL ME0059121) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2007-07-08 |