NPI | 1942312814 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0069767) |
Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: FL ME69767) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2018-05-24 |