| NPI | 1699883843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 1714941205) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: UT 1714941205) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2021-08-10 |