| NPI | 1295119709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME139154) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ACN724) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: FL ACN724) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: PR 19125) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME139154) | |
| 207RI0008X Internal Medicine Hepatology (Licence: FL ME139154) | |
| 207RI0008X Internal Medicine Hepatology (Licence: FL ACN 724) | |
| 207RI0008X Internal Medicine Hepatology (Licence: PR 19125) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2024-02-27 |