| NPI | 1891439253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: ND PT22711) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10081506) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2025-07-21 |