| NPI | 1912314030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: FL ME136904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME136904) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2018-09-13 |