NPI | 1982999496 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: PA MD458107) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD458107) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2023-05-19 |