NPI | 1215128194 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NH LT-3600) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036.133696) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2023-11-17 |