NPI | 1356367759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA G37497) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA G37497) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2011-03-03 |