NPI | 1639286495 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204F00000X Transplant Surgery (Licence: CA 00AS18240) |
Additional Taxonomies | 208600000X Surgery (Licence: CA 00AS18240) |
2086S0129X Surgery, Vascular Surgery (Licence: CA 00AS18240) | |
Enumeration Date | 2006-08-25 |
Last Update Date | 2019-09-25 |