| NPI | 1689831778 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: IL 036-121475)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-121475)  | 
| Enumeration Date | 2008-05-17 | 
| Last Update Date | 2024-08-12 |