| NPI | 1851357669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: IN 01054771A) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: OK 26123) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2023-05-04 |