NPI | 1912970773 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX J5139) |
Additional Taxonomies | 208600000X Surgery (Licence: TX J5139) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2017-05-05 |