NPI | 1194906982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: WI 20290-020) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WI 20290-020) |
Enumeration Date | 2007-11-20 |
Last Update Date | 2009-12-16 |