| NPI | 1427430842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101022005) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MI 1427430842) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2025-10-29 |