| NPI | 1285920538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI EMC0002519) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101278875) |
| 208600000X Surgery (Licence: GA 75997) | |
| 208600000X Surgery (Licence: GA 005081) | |
| 208600000X Surgery (Licence: MI EMC0002519) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: AL MD.36916) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101278875) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2023-07-26 |