| NPI | 1720121585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: NY 283730) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35088963) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 051154) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2018-11-28 |