| 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 |