| NPI | 1528280328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 04-32659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-32659) |
| 208000000X Pediatrics (Licence: KS 04-32659) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2023-06-01 |