| NPI | 1225142623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M4619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M4619) |
| 207RI0008X Internal Medicine, Hepatology (Licence: TX M4619) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2024-05-26 |