| NPI | 1477519734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: HI 14067) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CT 043716) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-12-15 |