| NPI | 1932368834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AL DO.1236) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MS 23226) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2019-02-12 |