| NPI | 1285084079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: VA 0102205529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102205529) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-07-25 |