| NPI | 1659316990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MO 103343) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: KS 0429566) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2024-01-23 |