NPI | 1114918034 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MA 32773) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MA 32773) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2007-07-08 |