| NPI | 1841553138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: OK 34677) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2019-09-13 |