NPI | 1720045412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA G78968) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G78968) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2020-06-04 |