| NPI | 1447251848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 27081) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 27081) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: AZ 27081) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2014-10-24 |