| NPI | 1740414861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01081018A) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: KY TP100) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2021-05-19 |