NPI | 1295704161 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35049331) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35049331) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2021-12-22 |