| NPI | 1831197672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MS 24292) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AL 00015677) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2022-05-03 |