| NPI | 1235426420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: NY 284445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 284445) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2021-11-15 |