| NPI | 1477713451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME115171) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: FL ME115171) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2024-04-01 |