NPI | 1013222058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME127458) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME127458) |
Enumeration Date | 2010-08-14 |
Last Update Date | 2025-07-11 |