| NPI | 1265491880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA06395000) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA06395000) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2017-03-12 |