| NPI | 1477612729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CO dr51972) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CO dr51972) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2014-11-14 |