NPI | 1235103888 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA G145199) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036095219) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2023-12-14 |