| NPI | 1558462556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NJ 25Ma06710300) |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NJ MA067103) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NY 2019411) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NJ 25Ma06710300) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2025-07-14 |