| NPI | 1881044196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA MD-46665) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069259) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: IA MD-46665) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-04-01 |