| NPI | 1861426132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CO DR.0071045) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WI 53442) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-09-26 |