| NPI | 1033554555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 56568) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73752) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CT 56568) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CT 56568) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2022-05-18 |