NPI | 1760448765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME91673) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME91673) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2010-07-08 |