| NPI | 1033631858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101023587) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MI 5101024463) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2024-12-09 |