| NPI | 1467471854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 217344) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NY 219617) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-10-18 |