| NPI | 1700088879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MD D0082481) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: DC MD044638) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2016-11-07 |