NPI | 1205899481 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 4301044283) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AR T2007-006) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2012-06-19 |