| NPI | 1326262031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: PA OS019945) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: PA OS019945) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PA OS019945) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2021-03-05 |