| NPI | 1063617611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: OK 38522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 50436) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101259964) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101259964) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2023-01-11 |