NPI | 1467776476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OK 33220) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036138522) |
Enumeration Date | 2010-03-19 |
Last Update Date | 2022-07-21 |