| NPI | 1760531693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A79889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A79889) |
| 207RI0008X Internal Medicine, Hepatology (Licence: CA A79889) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2015-10-29 |