| NPI | 1427027804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX J6217) |
| Additional Taxonomies | 2083B0002X Preventive Medicine Obesity Medicine (Licence: TX J6217) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2022-07-21 |