| NPI | 1104975689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GU M001025) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: GU M001025) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2014-02-18 |