| NPI | 1033184767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: GA 026926) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 026926) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2014-09-23 |