| NPI | 1598841447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 04-38712) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2016008069) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G84630) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2022-11-02 |