NPI | 1629488416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A139281) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A139281) |
Enumeration Date | 2014-05-01 |
Last Update Date | 2021-07-23 |