| NPI | 1588028294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CT 70550) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019022538) |
| 207R00000X Internal Medicine (Licence: VA 0102205437) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: CT 70550) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-02-28 |