| NPI | 1770670226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NV 6059) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: ID MC-0955) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-06-04 |