| NPI | 1821109224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine Obesity Medicine (Licence: IA MD-47292) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 17732) |
| 207Q00000X Family Medicine (Licence: IA MD-47292) | |
| 207QB0002X Family Medicine Obesity Medicine (Licence: NY 295979) | |
| 207QB0002X Family Medicine Obesity Medicine (Licence: IA 47292) | |
| 207QB0002X Family Medicine Obesity Medicine (Licence: NE 17732) | |
| 207R00000X Internal Medicine (Licence: IA MD-47292) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-07-14 |