| NPI | 1386858165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2007-00703) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NC 2007-00703) |
| 2086X0206X Surgery, Surgical Oncology (Licence: NC 2007-00703) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2014-09-19 |