NPI | 1891958138 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 003534-1) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 003534-1) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2014-03-26 |