| NPI | 1275684094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: TX R5927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R5927) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2022-01-29 |