| NPI | 1831418839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA OS015804) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS015804) |
| 208600000X Surgery (Licence: PA OT013215) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: IN 02007357A) | |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2023-07-20 |