| NPI | 1205035086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA C33440) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AK 1288) |
| 207L00000X Anesthesiology (Licence: CA C33440) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AK 1288) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA C33440) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA C33440) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2016-06-15 |