| NPI | 1548404643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01086536A) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CT 049789) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2024-01-02 |