NPI | 1366853145 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NC 2021-01169) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NC 2021-01169) |
Enumeration Date | 2014-05-14 |
Last Update Date | 2021-08-20 |