NPI | 1396736971 |
---|---|
Other Name | ALBERT DEVON SAM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101268276) |
Additional Taxonomies | 208600000X Surgery (Licence: LA 15157R) |
2086S0129X Surgery, Vascular Surgery (Licence: CT 55673) | |
Enumeration Date | 2005-11-02 |
Last Update Date | 2023-11-27 |