| NPI | 1962933663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 1019190) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: MA 1019190) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2026-07-29 |