| NPI | 1245214618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI 3796) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: HI 3796) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-10-30 |