| NPI | 1033777362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME PA1957) |
| Additional Taxonomies | 208D00000X General Practice (Licence: ME PA1957) |
| 208M00000X Hospitalist (Licence: ME PA1957) | |
| Enumeration Date | 2019-06-01 |
| Last Update Date | 2024-01-04 |