NPI | 1063465847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: NY 141280) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NY 141280) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2007-07-08 |