| NPI | 1720302797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: NY 269634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 264013) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2024-06-28 |