NPI | 1649807348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: KY 58619) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 58619) |
390200000X Student in an Organized Health Care Education/Training Program | |
207R00000X Internal Medicine (Licence: KY TP677) | |
Enumeration Date | 2020-03-24 |
Last Update Date | 2024-07-08 |