| NPI | 1891045183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 328643) |
| Additional Taxonomies | 207RT0003X Internal Medicine, Transplant Hepatology (Licence: LA 328643) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2021-12-02 |