| NPI | 1659356715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 211335) |
| Additional Taxonomies | 2083B0002X Preventive Medicine Obesity Medicine (Licence: NY 211335) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2023-02-20 |