| NPI | 1710144498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 257003) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NY 257003) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 257003) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2024-06-05 |