| NPI | 1285616185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G70352) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA G70352) |
| 2086S0129X Surgery, Vascular Surgery (Licence: CA G70352) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2010-12-29 |