| 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 |