NPI | 1275628182 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA05389100) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NY 1737871) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2011-09-06 |