| NPI | 1235289398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 66403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 1111111) |
| 207RI0008X Internal Medicine, Hepatology (Licence: VA 0101242769) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2025-08-05 |