NPI | 1275789430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MD D84537) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA09752900) |
2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MA09752900) | |
2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA09752900) | |
2086S0129X Surgery, Vascular Surgery (Licence: PA MD446266) | |
Enumeration Date | 2008-08-07 |
Last Update Date | 2022-10-25 |