| NPI | 1801875042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM 87-35) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NM 87-35) |
| 2086S0129X Surgery, Vascular Surgery (Licence: NM 87-35) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2012-03-22 |