NPI | 1104913110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME85876) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME85876) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2011-11-28 |