| NPI | 1154368181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME97723) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA A40479) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2024-05-24 |