| NPI | 1811081789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: MA 285761) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NH 11847) |
| 208M00000X Hospitalist (Licence: NH 11847) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-01-19 |