NPI | 1992930499 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME121713) |
Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: FL ME121713) |
2086S0102X Surgery, Surgical Critical Care (Licence: NY 280652) | |
Enumeration Date | 2009-05-28 |
Last Update Date | 2022-07-17 |