| NPI | 1265896732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PR 19760) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: PR 19760) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-06-27 |