| NPI | 1669467395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: TX G1407) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX G1407) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2022-09-08 |