| NPI | 1629175757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME77217) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WI 42900) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-07-02 |