NPI | 1073990990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: TX S5621) |
Additional Taxonomies | 208600000X Surgery (Licence: TX S5621) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2023-11-10 |