NPI | 1437321411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AZ 45776) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ 77524) |
2086S0129X Surgery, Vascular Surgery (Licence: TN 64044) | |
Enumeration Date | 2008-03-30 |
Last Update Date | 2021-11-17 |