| NPI | 1568435618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME78858) |
| Additional Taxonomies | 173000000X Legal Medicine |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2016-02-23 |