NPI | 1699055988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A122915) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AZ 52516) |
Enumeration Date | 2011-08-18 |
Last Update Date | 2022-11-03 |