| NPI | 1700048147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: MO 2021029589) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 43588) |
| 207R00000X Internal Medicine (Licence: TX 43998) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0031774) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2022-08-15 |