| NPI | 1477871218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME137773) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 036137480) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2022-09-05 |