| NPI | 1184618886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NJ 25MA08928300) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NJ 25MA08928300) |
| 208600000X Surgery (Licence: NY P40643) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-10-18 |