| NPI | 1487604260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: VI 3035) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: VI 3035) |
| 2086S0127X Surgery, Trauma Surgery (Licence: MI 4301050406) | |
| 208600000X Surgery (Licence: VI 3035) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301050406) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-02-07 |