| NPI | 1639345333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MB10281100) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 280941) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MB10281100) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 280941) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2018-07-26 |