| NPI | 1477968659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 94-09778) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NE 7322) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-06-03 |