| NPI | 1386709707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX M5886) |
| Additional Taxonomies | 207RI0008X Internal Medicine Hepatology (Licence: TX M5886) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: GA 051371) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2017-03-16 |