NPI | 1316019292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: RI RI6797) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: RI RI6797) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2012-12-21 |