| NPI | 1033149752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME78370) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME78370) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-03-10 |