NPI | 1073619870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX L7667) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: GA G055100) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2007-07-08 |