| NPI | 1942297817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OK 21272) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 21272) |
| 2086S0129X Surgery, Vascular Surgery (Licence: PR 21272) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2022-06-06 |