| NPI | 1922236777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35.140475) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME133311) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2022-07-21 |