| NPI | 1528416443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX U4908) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OK 44250) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2024-12-10 |