NPI | 1275820870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01085236A) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301099143) |
208600000X Surgery (Licence: IN 01085236A) | |
Enumeration Date | 2011-07-01 |
Last Update Date | 2023-09-25 |