NPI | 1245218700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: SC 13808) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: SC 13808) |
Enumeration Date | 2006-01-05 |
Last Update Date | 2018-09-05 |