NPI | 1831151497 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NM 75-199) |
Additional Taxonomies | 208600000X Surgery (Licence: NM 75-199) |
2086S0129X Surgery, Vascular Surgery (Licence: NM 75-199) | |
Enumeration Date | 2006-04-06 |
Last Update Date | 2014-12-22 |