| NPI | 1700185089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TN MD0000047432) |
| Additional Taxonomies | 207RI0008X Internal Medicine Hepatology (Licence: TN MD0000047432) |
| 207RT0003X Internal Medicine Transplant Hepatology (Licence: TN MD0000047432) | |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-11-11 |