| NPI | 1457339434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101-047008) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101047008) |
| 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101-047008) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2010-03-11 |