| NPI | 1437150364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 35886) |
| Additional Taxonomies | 174400000X Specialist (Licence: KS 04-31077) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2019-07-03 |