| NPI | 1427221886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MT 12351) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 5426453-1205) |
| 2086S0129X Surgery, Vascular Surgery (Licence: FL 12127) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2014-09-10 |