| NPI | 1144498163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: NV 12869) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: UT 6228774-8905) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2023-03-07 |