NPI | 1265619365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME113143) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 002604) |
Enumeration Date | 2008-01-30 |
Last Update Date | 2024-09-08 |