NPI | 1811428410 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01087995A) |
Additional Taxonomies | 208600000X Surgery (Licence: IN 01087995A) |
Enumeration Date | 2017-03-24 |
Last Update Date | 2024-09-09 |