| NPI | 1093752263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 232241) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NY 232241) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-10-18 |