| NPI | 1356579536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: OH 35.098489) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.098489) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2024-09-18 |