| NPI | 1760879639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 05-44983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 05-44983) |
| 207R00000X Internal Medicine (Licence: MO 2022038328) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2022038328) | |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2023-01-17 |