| NPI | 1629029160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME0075990) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME0075990) |
| 208600000X Surgery (Licence: FL ME75990) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: FL ME75990) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-08-20 |