NPI | 1043364532 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NV 9681) |
Additional Taxonomies | 208600000X Surgery (Licence: NV 9681) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2011-01-25 |