NPI | 1831262203 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA G83423) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G83423) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2013-04-08 |