| NPI | 1811335433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25MA10293500) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NJ 25MA10293500) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2023-08-07 |