| NPI | 1346409513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD446950) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA FM3902803) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2024-12-10 |