| NPI | 1437377280 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA 133988) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: RI MD13238) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2015-12-02 |