| NPI | 1396005120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2024028827) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 0449650) |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2024-08-12 |