| NPI | 1356435689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: CO DR.0041803) |
| Additional Taxonomies | 207RB0002X Internal Medicine Obesity Medicine (Licence: CO DR.0041803) |
| 208600000X Surgery (Licence: CO DR.0041803) | |
| 208600000X Surgery (Licence: CO 41803) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-07-26 |