| NPI | 1306822481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NH 8539) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: ME 013160) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2021-01-12 |