NPI | 1780888271 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX M0440) |
Additional Taxonomies | 208600000X Surgery (Licence: TX M0440) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2024-09-20 |