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 |