| NPI | 1598983108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MS 24402) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TN 0000050739) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2020-08-24 |