| NPI | 1659676146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01082541A) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NY 285937) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2023-08-07 |