| NPI | 1316998818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 04-24864) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 207RG0100X) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-09-02 |