NPI | 1467713354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: TX P9732) |
Additional Taxonomies | 2083B0002X Preventive Medicine Obesity Medicine (Licence: TX P9732) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2023-11-08 |