NPI | 1184652364 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: ID M9567) |
Additional Taxonomies | 207VB0002X Obstetrics & Gynecology Obesity Medicine (Licence: ID M-9567) |
2083B0002X Preventive Medicine Obesity Medicine (Licence: ID M-9567) | |
Enumeration Date | 2006-06-28 |
Last Update Date | 2021-11-05 |