| NPI | 1215155288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 16173) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: TN 16173) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-02-26 |