| NPI | 1871790113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AR E-9076) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: AR E-9076) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2016-09-08 |