| NPI | 1447813688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 296417-1) |
| Additional Taxonomies | 207RI0008X Internal Medicine Hepatology (Licence: NY 296417-1) |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2019-07-01 |