| NPI | 1982631636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME39564) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME39564) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2013-02-28 |