| NPI | 1962852178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01085736A) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MO 2016018401) |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2022-08-02 |