NPI | 1497802573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: LA MD.207197) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT187113) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2015-11-17 |