| NPI | 1598112823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 6889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08915) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: OK 6889) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2022-12-12 |