| NPI | 1649208190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: MA 156800) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 156800) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-11-13 |