| NPI | 1336217165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: PA MD441453) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD441453) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-06-09 |