| NPI | 1649214040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME87439) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 19807) |
| 208M00000X Hospitalist (Licence: FL ME87439) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-02-26 |