NPI | 1265621635 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN 51515) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD 445503) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2023-09-18 |