NPI | 1093729121 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA G39110) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G39110) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA G39110) | |
207X00000X Orthopaedic Surgery (Licence: CA G39110) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2020-05-28 |