| NPI | 1497723530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: LA MD.026020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 026020) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2026-01-07 |