| NPI | 1043742331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A156953) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: CA A156953) |
| 207R00000X Internal Medicine (Licence: CA A156953) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2024-04-12 |