| NPI | 1114350048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 04-40053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7075) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2026-05-28 |