| NPI | 1578743381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME96325) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD435931) |
| 207RI0008X Internal Medicine, Hepatology (Licence: FL ME96325) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2020-07-06 |