NPI | 1780831255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CO 51312) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A90673) |
Enumeration Date | 2008-08-26 |
Last Update Date | 2013-06-04 |