| NPI | 1225215064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME104578) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME104578) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2022-04-20 |