| NPI | 1033298526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WA OP00001319) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: DE C2-0007933) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-10-31 |