| NPI | 1750399564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MT 12116) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MT 12116) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2023-11-27 |