| NPI | 1427351469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 092771) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL LL7003725648) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |