| NPI | 1437326931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IA 41039) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 133591) |
| 208600000X Surgery (Licence: IA 41039) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2021-02-25 |