| NPI | 1376580050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: OH 35.055630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-05-5630-C) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: MA 253754) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-04-14 |