NPI | 1912295510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA a124130) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A124130) |
Enumeration Date | 2011-07-16 |
Last Update Date | 2023-08-01 |