| NPI | 1841495728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA a115599) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: CA a115599) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX n5649) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2016-07-28 |