| NPI | 1013626282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: AR E-16290) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR T2022-241) |
| 208600000X Surgery (Licence: AR E-16290) | |
| 2086S0129X Surgery Vascular Surgery (Licence: AR T2022-241) | |
| 2086S0129X Surgery Vascular Surgery (Licence: AR PENDING) | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2023-02-07 |