NPI | 1417348285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: NY 325742) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RG0100X Internal Medicine, Gastroenterology (Licence: IL 125.074009) | |
Enumeration Date | 2015-02-13 |
Last Update Date | 2023-12-04 |