NPI | 1851612592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX Q5326) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MA 245521) |
Enumeration Date | 2010-06-17 |
Last Update Date | 2023-04-14 |