| NPI | 1437786043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A184602) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA 89998824) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2026-02-01 |