| NPI | 1285628917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 37354) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TN MD37354) |
| 208600000X Surgery (Licence: TN MD37354) | |
| 174400000X Specialist (Licence: TN MD37354) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2021-07-07 |