| NPI | 1871014423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: VA 0102205442) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.014380) |
| 208M00000X Hospitalist (Licence: OH 34.014380) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2023-09-12 |