| NPI | 1851746465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35.150936) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301109885) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019205A) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: IN 01083614A) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2024-05-14 |