| NPI | 1760890131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME148662) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: AZ 53103) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: FL 148662) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: FL 148662) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME148662) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: FL ME148662) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: FL ME148662) | |
| 208D00000X General Practice (Licence: AZ 53103) | |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2023-10-04 |