| NPI | 1528022274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD418476) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA AT9222908) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-10-29 |