| NPI | 1881986909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: DE C1-0012826) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 125.062550) |
| Enumeration Date | 2011-05-08 |
| Last Update Date | 2020-07-28 |