NPI | 1962790170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301099039) |
Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MI 4301099039) |
Enumeration Date | 2011-07-21 |
Last Update Date | 2023-09-12 |