NPI | 1184640401 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MO R1F49) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: MO R1F49) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2010-08-13 |