NPI | 1184088908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX T3408) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2086S0129X Surgery, Vascular Surgery (Licence: TX BP10056957) | |
Enumeration Date | 2016-04-07 |
Last Update Date | 2022-07-14 |