| 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 |