| NPI | 1427170190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME118545) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: FL ME118545) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2022-02-09 |