| NPI | 1699236331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 307260) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NY 307260) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-05-07 |