| NPI | 1235387713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: OH 35.149888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11013341A) |
| 207R00000X Internal Medicine (Licence: MN 66561) | |
| 207R00000X Internal Medicine (Licence: IN 01069170A) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2024-09-10 |