NPI | 1205804945 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 2002-00613) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 2002-00613) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2023-12-19 |