| NPI | 1689813479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MI 4301090057) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01066712A) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2022-07-21 |