| NPI | 1730497454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 259673) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: NY 259673) |
| 204F00000X Transplant Surgery (Licence: NY 259673) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2012-07-17 |