| NPI | 1326020199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 179208) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: TN 179208) |
| 208000000X Pediatrics (Licence: TN 179208) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2023-11-14 |