NPI | 1487778239 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MS 20344) |
Additional Taxonomies | 208600000X Surgery (Licence: CA a76552) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2019-02-26 |