| NPI | 1285955534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.52257) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CO DR.52257) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2025-10-24 |