| NPI | 1013081397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME49643) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL 49643) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2021-01-13 |