NPI | 1740265818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 18698) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 18698) |
2086S0102X Surgery, Surgical Critical Care (Licence: NC 18698) | |
Enumeration Date | 2005-12-13 |
Last Update Date | 2010-11-12 |