| NPI | 1528314275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2015013067) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: WV ED0312a) |
| 207R00000X Internal Medicine (Licence: MO 2015013067) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2016-06-27 |