| NPI | 1184683013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX K4694) |
| Additional Taxonomies | 174400000X Specialist |
| 208600000X Surgery (Licence: TX K4694) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2023-12-22 |