| NPI | 1215959721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME94651) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: FL ME94651) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-08-04 |