| NPI | 1336174861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CT 016641) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 016641) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-03-17 |