| NPI | 1326069824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-115481) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006012209) |
| 207R00000X Internal Medicine (Licence: KS 0430736) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2021-05-14 |