| NPI | 1043606429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 166732) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: CA 166732) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2023-09-11 |