| NPI | 1467971267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME173141) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME173141) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2025-10-15 |