| NPI | 1801114111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A120308) |
| Additional Taxonomies | 207RB0002X Internal Medicine Obesity Medicine (Licence: CA A120308) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2020-07-09 |