| NPI | 1194772665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101239944) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101239944) |
| 208600000X Surgery (Licence: VA 0101239944) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2018-08-15 |