| NPI | 1295849099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: SC 88566) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: AZ 23180) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-11-26 |