| NPI | 1619361680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: KY 56602) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01087790A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2024-03-01 |