| NPI | 1285965871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: FL ME124670) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 64675) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2024-01-19 |