| NPI | 1245312073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NH 13974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME 017248) |
| 208M00000X Hospitalist (Licence: ME 017248) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2021-03-22 |