| NPI | 1982087755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 302015) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: NE 7512) |
| 207RI0008X Internal Medicine, Hepatology (Licence: LA 302015) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2017-01-26 |