| NPI | 1659565943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 50313) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 0435582) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 50313) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 0435582) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 50313) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: KS 0435582) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2024-11-25 |