| NPI | 1750342747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME139365) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME139365) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2019-07-11 |