| NPI | 1114360765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 05-48226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 05-48226) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: KS 05-48226) | |
| 2080B0002X Pediatrics, Obesity Medicine (Licence: KS 05-48226) | |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2025-02-04 |