| NPI | 1174814644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: IN 01087108A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01087108A) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2023-05-23 |