NPI | 1144487562 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 2008-00963) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TX T0964) |
2086S0129X Surgery, Vascular Surgery (Licence: CA A85121) | |
Enumeration Date | 2008-05-22 |
Last Update Date | 2021-05-18 |