NPI | 1629438874 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: HI 19352) |
Additional Taxonomies | 208600000X Surgery (Licence: HI 19352) |
Enumeration Date | 2016-03-01 |
Last Update Date | 2024-08-13 |