| NPI | 1780650937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 82484) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NY 161469) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-11-09 |