| NPI | 1508220195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA12043700) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA12043700) |
| 2086S0129X Surgery, Vascular Surgery (Licence: NY 311578) | |
| 208600000X Surgery (Licence: NY 311578) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-09-27 |