NPI | 1083854582 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A104116) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A104116) |
Enumeration Date | 2009-02-24 |
Last Update Date | 2020-11-02 |