NPI | 1013056365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL OS 8941) |
Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: FL OS 8941) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2008-04-01 |