| NPI | 1366323446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME147984) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: FL ME147984) |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-10-24 |