| NPI | 1326068198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 229717-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 229717-1) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2014-10-17 |