| NPI | 1417162801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101246677) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: VA 0101246677) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2023-02-10 |