NPI | 1225037435 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: RI RI7525) |
Additional Taxonomies | 208600000X Surgery (Licence: NH 20154) |
208600000X Surgery (Licence: VA 0101268741) | |
2086S0129X Surgery, Vascular Surgery (Licence: RI MD07525) | |
Enumeration Date | 2005-07-19 |
Last Update Date | 2022-09-27 |