NPI | 1922171966 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MO R7H35) |
Additional Taxonomies | 208600000X Surgery (Licence: MO R7H35) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2013-05-09 |