| NPI | 1245625151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2020-01002) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NC 2020-01002) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-12-14 |