NPI | 1053475822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CA A66420) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A64420) |
207R00000X Internal Medicine (Licence: CA A64420) | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2010-11-09 |