NPI | 1013004548 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: OR MD11222) |
Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound (Licence: OR MD11222) |
208600000X Surgery (Licence: OR MD11222) | |
2086S0102X Surgery Surgical Critical Care (Licence: OR MD11222) | |
2086S0120X Surgery Pediatric Surgery (Licence: OR MD11222) | |
2086S0127X Surgery Trauma Surgery (Licence: OR MD11222) | |
2086S0129X Surgery Vascular Surgery (Licence: OR MD11222) | |
208800000X Urology (Licence: OR MD11222) | |
2088P0231X Urology Pediatric Urology (Licence: OR MD11222) | |
208C00000X Colon & Rectal Surgery (Licence: OR MD11222) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OR MD11222) | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2007-07-09 |