| NPI | 1285918326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: TX P1360) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P1360) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME 127264) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2023-06-20 |