| NPI | 1366550014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 38851) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: TN 38851) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-06-06 |