| NPI | 1922528009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 04-49461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-49461) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-07-27 |