NPI | 1538212196 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA C165627) |
Additional Taxonomies | 208600000X Surgery (Licence: CA C165627) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2024-11-14 |