| NPI | 1942246111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A48781) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA A48781) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2021-03-17 |