| NPI | 1417915778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A19860) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA A19860) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2015-04-09 |