| NPI | 1639655004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: MO 2026024887) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 1015717) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2026-06-08 |