| NPI | 1801317888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 210209) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: CA 210209) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: CT 67275) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2026-07-13 |