| NPI | 1437249992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101245609) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 45966) |
| 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101245609) | |
| 204F00000X Transplant Surgery (Licence: VA 0101245609) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-03-23 |