| NPI | 1023452042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MD D0095863) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A134006) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NJ 25MA11783200) | |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2026-05-20 |