NPI | 1689623696 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 61219) |
Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: FL ME61219) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2021-08-30 |