NPI | 1013929439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME106124) |
Additional Taxonomies | 208600000X Surgery (Licence: MI RQ075615) |
2086S0129X Surgery, Vascular Surgery (Licence: FL ME106124) | |
Enumeration Date | 2006-08-13 |
Last Update Date | 2020-04-15 |