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 |