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 |