| NPI | 1588923239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 49007) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: KY 49007) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2025-08-11 |