| NPI | 1922288984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: CA C28583) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C28583) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |