| NPI | 1952324600 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2025-0101) | 
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: KY C0398) | 
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 12521) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY C0398) | |
| Enumeration Date | 2006-07-25 | 
| Last Update Date | 2025-10-01 |