| NPI | 1770663536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MN 51048) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 51941) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 51048) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD418429) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-04-23 |