NPI | 1770762098 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX S1997) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TN 44223) |
2086S0129X Surgery, Vascular Surgery (Licence: NC 180091) | |
2086S0129X Surgery, Vascular Surgery (Licence: AZ 43434) | |
Enumeration Date | 2007-11-02 |
Last Update Date | 2022-10-11 |