| NPI | 1083023998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME131232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN19943) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2026-05-20 |