| NPI | 1255392189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO R8N35) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MO R8N35) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2020-11-06 |