| NPI | 1073683132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: FL ME96473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME96473) |
| 207R00000X Internal Medicine (Licence: FL ME 96473) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2024-02-07 |