| NPI | 1194895680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: IN 01065834A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036112784) |
| 207Q00000X Family Medicine (Licence: WI 54865-020) | |
| 207Q00000X Family Medicine (Licence: IN 01065834A) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2026-07-23 |