NPI | 1114219284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NY 292737) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NY 292737) |
Enumeration Date | 2011-05-09 |
Last Update Date | 2018-09-17 |