| NPI | 1912078304 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: NY 178915)  | 
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 178915)  | 
| Enumeration Date | 2006-11-10 | 
| Last Update Date | 2024-09-13 |