| NPI | 1225008220 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 04-24631) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 109022) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-09-02 |