| NPI | 1346287380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01063016A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01063016A) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2018-09-19 |