| NPI | 1184652364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ID M9567) |
| Additional Taxonomies | 207VB0002X Obstetrics & Gynecology, Bariatric 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 |