| NPI | 1992751754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: ME MD27794) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AL 00017567) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-06-25 |