NPI | 1013957695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MT 9598) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MT 9598) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2023-11-27 |