| NPI | 1871625368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202D00000X Integrative Medicine (Licence: PA MD462439) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 41177) |
| 2080B0002X Pediatrics, Obesity Medicine (Licence: PA MD462439) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: PA MD462439) | |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2024-09-17 |