NPI | 1982890786 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME143589) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IN 01085444A) |
Enumeration Date | 2007-09-14 |
Last Update Date | 2021-05-20 |