| NPI | 1497288088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: UT 13824107-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME142574) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2024-05-23 |