| NPI | 1528375888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: PA MD465749) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: AL 30438) |
| 207R00000X Internal Medicine (Licence: AL 30438) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2018-09-24 |