NPI | 1144301300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OR MD22875) |
Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: OR MD22875) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2018-02-23 |