| NPI | 1033159835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME66384) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: FL ME66384) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-08-17 |