| NPI | 1336677186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A169452) |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine (Licence: CA A169452) |
| 207R00000X Internal Medicine (Licence: CA A169452) | |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2024-10-08 |