NPI | 1033320213 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35C.001197) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: DC MD210002490) |
2086S0129X Surgery, Vascular Surgery (Licence: VA 0101272925) | |
2086S0129X Surgery, Vascular Surgery (Licence: PA MD474815) | |
2086S0129X Surgery, Vascular Surgery (Licence: MD MD71662) | |
Enumeration Date | 2007-05-27 |
Last Update Date | 2024-12-20 |