| NPI | 1477085025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: OR MD204696) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: CA A158279) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-06-29 |