| NPI | 1194220657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MO 2020015503) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: KS 0447609) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-08-03 |