| NPI | 1982268223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0008X Internal Medicine Hepatology (Licence: IL 036.161125) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2022-10-04 |