| NPI | 1396276887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OK 43034) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 125.070388) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2024-08-09 |