| NPI | 1093008237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 006890) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: AZ 006890) |
| 2086S0129X Surgery, Vascular Surgery (Licence: AZ 006890) | |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2024-10-08 |