| NPI | 1326277427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 21263) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MS 21263) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2026-07-02 |