NPI | 1669496931 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA03727700) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA03727700) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2007-07-08 |