| NPI | 1639445471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: KS 0441030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 441030) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2020-12-09 |