| NPI | 1124446786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA a145640) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA A156640) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA A145640) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2026-06-11 |