| NPI | 1962818211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 63366) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MS 28751) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2021-08-02 |