| NPI | 1588620363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA C53803) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: CA C53803) |
| 2086P0122X Surgery, Physician Nutrition Specialist (Licence: CA C53803) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2025-04-15 |