| NPI | 1730340340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA09883400) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA09883400) |
| 2086S0129X Surgery, Vascular Surgery (Licence: NY 279895) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2024-04-30 |