| NPI | 1609848860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 230572) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: MA 230572) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2008-04-08 |