| NPI | 1992796775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: OH 34002748) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34002748) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2016-10-26 |