NPI | 1710905807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME118434) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NV 10174) |
2086S0129X Surgery, Vascular Surgery (Licence: MS 19487) | |
2086S0129X Surgery, Vascular Surgery (Licence: NC 9901576) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2023-03-07 |