| NPI | 1700310943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 34.015740) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: OH 34.015740) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2024-04-16 |