| NPI | 1912962440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD06964) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: RI MD06964) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2024-08-12 |