| NPI | 1518964626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 13600) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: SC 13600) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2021-02-10 |