NPI | 1205938255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 2005-01306) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2005-01306) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2005-01306) | |
208600000X Surgery (Licence: NC 2005-01306) | |
2086S0102X Surgery, Surgical Critical Care (Licence: NC 2005-01306) | |
Enumeration Date | 2006-09-01 |
Last Update Date | 2024-07-24 |