NPI | 1669652335 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CO 48205) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 232755) |
208600000X Surgery (Licence: CO 48205) | |
Enumeration Date | 2007-11-09 |
Last Update Date | 2021-11-12 |