NPI | 1790929164 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A103684) |
Additional Taxonomies | 208600000X Surgery (Licence: CA a103684) |
Enumeration Date | 2009-04-28 |
Last Update Date | 2023-05-22 |