| NPI | 1083649263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 270188) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NY 270188) |
| 207R00000X Internal Medicine (Licence: NY 270188) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-12-26 |