| NPI | 1831121086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NE 15753) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 15753) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 15753) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-02-11 |