NPI | 1366588170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35032765) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35032765) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2009-01-14 |