| NPI | 1295902013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME14641) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME14641) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2024-06-22 |