| NPI | 1316227150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MD D83184) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: DC MD043369) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2022-07-21 |