| NPI | 1295050342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: ID M-13357) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: ID M-13357) |
| 2086S0127X Surgery, Trauma Surgery (Licence: ID M-13357) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: ID M-13357) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2025-10-07 |