| NPI | 1932605896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 59116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 63110) |
| 207RI0008X Internal Medicine, Hepatology (Licence: TN 63110) | |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2024-04-03 |