| NPI | 1184652364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ID M9567) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: ID M-9567) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2025-04-10 |