| NPI | 1316344088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: FL ME151026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 291035) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2023-03-30 |