| NPI | 1811158454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME110104) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: TX Q3157) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q3157) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2023-11-02 |