| NPI | 1225868623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA NP95031206) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CA NP95031206) |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |