NPI | 1306954490 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TN MD 23441) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TN MD23441) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2019-07-26 |