| NPI | 1760426035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA MD.12692R) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 11292) |
| 207RI0008X Internal Medicine, Hepatology (Licence: NV 11292) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-11-04 |