NPI | 1396238945 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A198961) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TX U0818) |
Enumeration Date | 2018-06-08 |
Last Update Date | 2024-09-27 |