| NPI | 1568857415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 307266) |
| Additional Taxonomies | 2080B0002X Pediatrics, Obesity Medicine (Licence: NY 307266) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2023-02-20 |