| NPI | 1427551233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: FL ME149063) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME149063) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2024-08-22 |