NPI | 1972821411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A124195) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A124195) |
Enumeration Date | 2010-05-07 |
Last Update Date | 2020-08-19 |