| NPI | 1437389327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60638477) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 9407298) |
| Enumeration Date | 2009-07-25 |
| Last Update Date | 2024-03-28 |