| NPI | 1124551577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: SD 422339) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2021-09-13 |