| NPI | 1780929240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA MD461936) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: PA MD461936) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2020-11-10 |