| NPI | 1114547015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083B0002X Preventive Medicine Obesity Medicine (Licence: DE C2-0024236) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C2-0024236) |
| 207P00000X Emergency Medicine (Licence: TX T3520) | |
| 207PH0002X Emergency Medicine Hospice and Palliative Medicine (Licence: DE C2-0024236) | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2025-07-07 |