NPI | 1861492241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CT 013482) |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CT 013482) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 013482) | |
208600000X Surgery (Licence: CT 013482) | |
Enumeration Date | 2005-07-28 |
Last Update Date | 2007-07-12 |