| NPI | 1487757399 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 6633685-8017) | 
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 04-30483) | 
| 207RI0008X Internal Medicine, Hepatology (Licence: KS 04-30483) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: UT 6633685-8018) | |
| Enumeration Date | 2006-09-06 | 
| Last Update Date | 2009-08-18 |