| NPI | 1285837377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD28523) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD28523) |
| 2080B0002X Pediatrics, Obesity Medicine (Licence: AL MD28523) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: AL MD28523) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2023-03-21 |