NPI | 1386025062 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A149019) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036.157259) |
Enumeration Date | 2015-06-17 |
Last Update Date | 2023-12-05 |