| NPI | 1255384079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD423575) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MO 2006012814) |
| 2086S0129X Surgery, Vascular Surgery (Licence: PA BS8905385) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-03-14 |