| NPI | 1518033307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CO 29353) |
| Additional Taxonomies | 207RI0008X Internal Medicine Hepatology (Licence: CO 29353) |
| Enumeration Date | 2006-11-26 |
| Last Update Date | 2007-07-08 |