| NPI | 1588954457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: NC 2014-01118) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101254535) |
| 207R00000X Internal Medicine (Licence: NC 198451) | |
| 207R00000X Internal Medicine (Licence: TN 56024) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 56024) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2022-07-21 |