| NPI | 1235285222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: CA 20A9780) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A 9780) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 20A9780) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2021-08-24 |