| NPI | 1407054851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME117525) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01066107A) |
| 207QB0002X Family Medicine, Bariatric Medicine (Licence: FL ME117525) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2018-07-09 |