NPI | 1043249683 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 202K00000X Phlebology (Licence: PA MD028210E) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD028210E) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2008-11-21 |