| NPI | 1972759173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-172374) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 1) |
| 207RI0008X Internal Medicine, Hepatology (Licence: OK 2) | |
| 207R00000X Internal Medicine (Licence: MI 4301092311) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2024-12-18 |