| NPI | 1689990848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.206928) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: LA MD.206928) |
| 208M00000X Hospitalist (Licence: LA MD.206928) | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2021-01-19 |