| NPI | 1669401444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD16302) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 12089) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: ME MD16302) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2025-03-24 |