NPI | 1861679979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: CA A93327) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A93327) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2022-06-16 |