NPI | 1013912898 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NC 25419) |
Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: NC 25419) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2010-06-29 |