| NPI | 1063004398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 73000253A) |
| Additional Taxonomies | 207RI0008X Internal Medicine Hepatology (Licence: IN 73000253A) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |