NPI | 1053359836 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 9700951) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: SC 11507) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2024-04-18 |