| NPI | 1477084580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 0548309) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 20A25134) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2026-07-01 |