NPI | 1104933985 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA 00A357430) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA 00A357430) |
2086S0129X Surgery, Vascular Surgery (Licence: CA 00A357430) | |
Enumeration Date | 2006-08-25 |
Last Update Date | 2008-09-30 |