| NPI | 1407875032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: GA 63668) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC LL25878) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-01-25 |