| NPI | 1265774343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 37692) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: SC 37692) |
| 208600000X Surgery (Licence: SC LL37692) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2022-01-04 |