| NPI | 1124383039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-38104) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2021027837) |
| 207R00000X Internal Medicine (Licence: KS 04-38104) | |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2021-08-09 |