| NPI | 1922074830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME0050610) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME0050610) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2022-07-21 |