| NPI | 1295850725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CO 28449) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO 28449) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-06-20 |