| NPI | 1346331485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 018267) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 018267) |
| 2086S0129X Surgery, Vascular Surgery (Licence: GA 018267) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: GA 018267) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |