| NPI | 1871900050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: PA MD481533) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-44681) |
| 207R00000X Internal Medicine (Licence: MD D0093536) | |
| 208000000X Pediatrics (Licence: IA MD-44681) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301105674) | |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2023-09-26 |