| NPI | 1033567383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MB11464100) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NJ 25MB11464100) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2025-02-11 |