| NPI | 1316336167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine Obesity Medicine (Licence: NC 2025-01586) |
| Additional Taxonomies | 207RB0002X Internal Medicine Obesity Medicine (Licence: IL 036160939) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2025-07-02 |