| NPI | 1376502617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD427295) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0069630) |
| 207RT0003X Internal Medicine, Transplant Hepatology (Licence: CO DR.0069630) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2023-01-20 |