| NPI | 1508836008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 04-26916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 112103) |
| 207R00000X Internal Medicine (Licence: KS 112103) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 04-26916) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2025-05-19 |