| 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 |