| NPI | 1538748710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: MD D0098293) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD600004965) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2025-12-15 |