| NPI | 1922489244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 9408659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9408659) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2022-11-09 |