NPI | 1710997085 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD418175) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD418175) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2024-05-23 |