| NPI | 1750301404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 82330) |
| Additional Taxonomies | 2083B0002X Preventive Medicine Obesity Medicine (Licence: SC 82330) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-04-25 |