NPI | 1851384291 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA MD027414E) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD027414E) |
Enumeration Date | 2005-08-30 |
Last Update Date | 2018-03-29 |