| NPI | 1356383889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2021012460) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 0436448) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2023-10-23 |