| NPI | 1811935471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: MO 103060) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 103060) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-06-20 |