| NPI | 1073527057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA A62408) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A62408) |
| 2086S0129X Surgery Vascular Surgery (Licence: CA A62408) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-01-23 |