NPI | 1003971102 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA C146610) |
Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA08206100) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2022-11-07 |