NPI | 1700891223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: ID M-16279) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OR MD17953) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2024-04-26 |