| NPI | 1992763205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A94870) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA A94870) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-10-14 |