NPI | 1407941784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 200100421) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 200100421) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2021-04-02 |