| NPI | 1639979206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2026023177) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: NY 334896-01) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 334896-01) | |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2026-06-26 |