| NPI | 1447251897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR0053026) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CO DR.0053026) |
| 2086S0129X Surgery, Vascular Surgery (Licence: UT 5252145-1205) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: WY TL985) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: UT 5252145-1205) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2024-03-05 |