| NPI | 1932631652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: TX V5914) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: IL 036.174866) |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MN 75099) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: WI 81365-25) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: AZ 8127) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: FL 20475) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2025-09-09 |