| NPI | 1770564122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036072555) |
| Additional Taxonomies | 207RB0002X Internal Medicine Obesity Medicine (Licence: IL 036072555) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2015-07-09 |