| NPI | 1033303524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: HI MD-22521) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA A109026) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2022-07-20 |