NPI | 1366899155 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01086127A) |
Additional Taxonomies | 208600000X Surgery (Licence: IN 01086127A) |
Enumeration Date | 2016-05-21 |
Last Update Date | 2023-10-16 |