| NPI | 1528218393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: GA 84514) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AL MD.30789) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2019-12-10 |