| NPI | 1245280023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 36423) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: TN 36423) |
| 208600000X Surgery (Licence: GA 046635) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-12-19 |