NPI | 1811108152 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD435379) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD435379) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2021-01-26 |