| NPI | 1477041333 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CA A1735559)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GU MTL-2023-007)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-26 | 
| Last Update Date | 2025-02-20 |