| NPI | 1275614596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G52429) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA G52429) |
| 2086S0129X Surgery, Vascular Surgery (Licence: CA G52429) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-11-10 |