| NPI | 1588830566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CT 64481) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA C55936) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2019-12-22 |