| NPI | 1649905795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: UT 14209307-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 9324) |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2025-03-27 |