NPI | 1093153116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: GA 73048) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 6088) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2021-01-22 |