| NPI | 1740556471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: FL ME124823) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME124823) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2024-01-10 |