NPI | 1275513715 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MD D0064058) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101232175) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2017-03-29 |