| NPI | 1083692677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 115197) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO 115197) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MO 115197) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2024-01-10 |