NPI | 1356315139 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CO 49631) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME92308) |
208600000X Surgery (Licence: FL ME92308) | |
2086S0129X Surgery, Vascular Surgery (Licence: FL ME92308) | |
Enumeration Date | 2006-02-16 |
Last Update Date | 2021-05-20 |