| NPI | 1437458577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD448163) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: PA LT000706) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2013-04-16 |