| NPI | 1427154145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 057808) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 057808) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 56278) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: GA 057808) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2022-08-17 |