NPI | 1750349759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NJ MA35220) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NJ MA35200) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2007-07-08 |