NPI | 1346690302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NV 24044) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125.072224) |
2086S0129X Surgery, Vascular Surgery (Licence: PA MT211309) | |
Enumeration Date | 2016-06-20 |
Last Update Date | 2024-05-02 |