| NPI | 1992949838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY 50627) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: IL 036-130416) |
| 208600000X Surgery (Licence: PA MD435204) | |
| 208600000X Surgery (Licence: IN 01072319A) | |
| 208600000X Surgery (Licence: IL 036-130416) | |
| 208C00000X Colon & Rectal Surgery (Licence: IL 036-130416) | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2023-11-27 |