NPI | 1215090774 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MT 7151) |
Additional Taxonomies | 208600000X Surgery (Licence: MT 7151) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2021-04-29 |