| NPI | 1306873518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: GA 030388) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: SC 17449) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2022-09-13 |