| NPI | 1093792590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CO 34233) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 34233) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2022-07-18 |