NPI | 1942468368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME110309) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA C143181) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-06-02 |
Last Update Date | 2021-04-01 |