| NPI | 1316072598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: DC MD32668) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101229914) |
| 2086S0129X Surgery, Vascular Surgery (Licence: MD D0056700) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: MD D56700) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2023-06-21 |