| NPI | 1417968041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: KS 04-30970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-30970) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: KS 04-30970) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-06-19 |