NPI | 1578825832 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0103432) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0103432) |
207R00000X Internal Medicine (Licence: NY 307571) | |
207RI0008X Internal Medicine, Hepatology (Licence: MD D0103432) | |
Enumeration Date | 2012-06-13 |
Last Update Date | 2025-08-05 |