| NPI | 1033189915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: OR MD225689) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD225689) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2025-11-19 |