NPI | 1023329638 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A156386) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A156386) |
Enumeration Date | 2010-06-29 |
Last Update Date | 2023-07-31 |