| NPI | 1851486831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NE 30056) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NE 30056) |
| 2084B0002X Psychiatry & Neurology, Bariatric Medicine (Licence: NE 30056) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-08-16 |