| NPI | 1831121854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: DC MD037471) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: SC TL28907) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-11-30 |