| NPI | 1518353432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35.149665) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D0094717) |
| 2086S0129X Surgery, Vascular Surgery (Licence: MD D0094717) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2024-02-20 |