| NPI | 1730862343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL L6456SP) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: TX BP10084060) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2025-01-09 |