| NPI | 1891987806 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME141176) | 
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: FL ME141176) | 
| Enumeration Date | 2007-08-14 | 
| Last Update Date | 2023-04-12 |