| NPI | 1083709737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101244851) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01056946A) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-04-22 |