| NPI | 1407851066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: KS 0420754) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 0420754) |
| 208600000X Surgery (Licence: MO R7N37) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: MO R7N37) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2023-10-12 |