NPI | 1366462756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA G81880) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G81880) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2010-11-12 |