| NPI | 1710483342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2024-01179) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: NC 2024-01179) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2025-07-24 |