| NPI | 1932635091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0008X Internal Medicine Hepatology (Licence: WV 30571) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 30571) |
| 2083B0002X Preventive Medicine Obesity Medicine (Licence: WV 30571) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-05-16 |