NPI | 1073839833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 193400000X Single Specialty (Licence: MD D814945) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 125059828) |
Enumeration Date | 2010-04-19 |
Last Update Date | 2017-01-27 |