| NPI | 1750335634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME 76205) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME76205) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2021-03-24 |