| NPI | 1952555666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 51677) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AR E11572) |
| 2086S0129X Surgery, Vascular Surgery (Licence: MS 25809) | |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2025-01-22 |