| NPI | 1841257706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CO DR0046643) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD420214) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2021-06-08 |