| NPI | 1255385068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NC 19891) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NC 19891) |
| 208000000X Pediatrics (Licence: NC 19891) | |
| 207Q00000X Family Medicine (Licence: NC 19891) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-03-08 |