| NPI | 1841254422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2002000058) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MO 2002000058) |
| 2086S0129X Surgery, Vascular Surgery (Licence: MO 2002000058) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2022-07-21 |