| NPI | 1295025237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: GA 716464) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 716464) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2018-10-02 |