NPI | 1700052966 |
---|---|
Other Name | TREY LYONS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: AL 39358) |
Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: AR E9259) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2020-05-13 |