| NPI | 1851553606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME104852) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2015-0581) |
| 207R00000X Internal Medicine (Licence: NM MD2015-0581) | |
| 207R00000X Internal Medicine (Licence: NY 249381) | |
| 208M00000X Hospitalist (Licence: FL ME104852) | |
| 208M00000X Hospitalist (Licence: NM MD2015-0581) | |
| 208M00000X Hospitalist (Licence: NY 249381) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL me104852) | |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2025-11-20 |