| NPI | 1073177846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC MDO.89993LL) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CT 80635) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 80635) | |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2025-03-31 |