NPI | 1750500591 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AZ 52469) |
Additional Taxonomies | 208600000X Surgery (Licence: LA 205219) |
2086S0129X Surgery, Vascular Surgery (Licence: LA 205219) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2016-12-28 |