NPI | 1851357669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01054771A) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OK 26123) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2023-05-04 |