| NPI | 1679709380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX T1639) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 278465) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: NY 278465) | |
| 207RI0008X Internal Medicine Hepatology (Licence: NY 278465) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2022-05-10 |