| NPI | 1508025867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: IN 01075159A) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01075159A) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2024-04-29 |