| NPI | 1538554068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME136969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME136969) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2024-10-24 |