NPI | 1912101361 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX M6927) |
Additional Taxonomies | 208600000X Surgery (Licence: TX M6927) |
2086S0127X Surgery, Trauma Surgery (Licence: TX M6927) | |
Enumeration Date | 2007-06-11 |
Last Update Date | 2015-04-15 |