| NPI | 1902883200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME93277) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: FL ME93277) |
| 209800000X Legal Medicine (Licence: FL ME93277) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2025-02-11 |