NPI | 1689779993 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MN 22417) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MN 22417) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2012-10-26 |