NPI | 1730507625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: UT 12371377-1205) |
Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: UT 12371377-1205) |
207R00000X Internal Medicine (Licence: UT 12371377-1205) | |
Enumeration Date | 2014-03-29 |
Last Update Date | 2022-01-07 |