NPI | 1972571636 |
---|---|
Other Name | LARRY GOLDSTEIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA G61253) |
Additional Taxonomies | 208600000X Surgery (Licence: NM 2003-0639) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2020-08-03 |