| 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 |