NPI | 1003831447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA G35691) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA G35691) |
2086S0129X Surgery, Vascular Surgery (Licence: CA G35691) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2013-01-09 |