| NPI | 1396813283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: HI md-22018) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD014725L) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-01-28 |