NPI | 1700873593 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A66104) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A66104) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2012-06-18 |