| NPI | 1811928385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: TN 49705) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 25802) |
| 207L00000X Anesthesiology (Licence: TN 49705) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-01-04 |