| NPI | 1073540571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CO 37885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 37885) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-07-02 |