| 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 |