NPI | 1801004262 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: LA MD.025243) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: LA 025243) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2009-11-18 |