NPI | 1386601045 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: OH 35.087388) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35.087388) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2017-10-30 |