| NPI | 1861832255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CO DR.0058411) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A167495) |
| 2086S0129X Surgery, Vascular Surgery (Licence: CA A167495) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0004939) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2022-09-08 |