NPI | 1962578120 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A49049) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CA A49049) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2019-02-26 |