| NPI | 1750714630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: KY TP018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP018) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2018-12-13 |