NPI | 1730154774 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD068087L) |
Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: PA MD068087L) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2024-10-28 |