| NPI | 1427044064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME51003) |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME51003) |
| 2086S0129X Surgery, Vascular Surgery (Licence: FL ME51003) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2016-03-22 |