| NPI | 1174883607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2013030301) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5469) |
| 207Q00000X Family Medicine (Licence: KS 05-38357) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: MO 2013030301) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: OK 5469) | |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: KS 05-38357) | |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: MO 2013030301) | |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: OK 5469) | |
| 207RH0005X Internal Medicine, Hypertension Specialist (Licence: KS 05-38357) | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2019-08-21 |