NPI | 1710162193 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA09854200) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 245236) |
Enumeration Date | 2008-01-04 |
Last Update Date | 2024-03-11 |