| NPI | 1033736277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 9411282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351047276) |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2023-07-16 |