NPI | 1225272289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 202K00000X (Licence: AZ 928) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AZ 009176) |
Enumeration Date | 2009-04-21 |
Last Update Date | 2024-05-06 |