| NPI | 1700892957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD-6498) |
| Additional Taxonomies | 174400000X Specialist (Licence: HI MD6498) |
| 207RI0008X Internal Medicine, Hepatology (Licence: HI MD-6498) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-04-28 |