| NPI | 1023452042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A134006) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA A134006) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MO 2024050066) | |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2026-09-02 |