NPI | 1285799841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 15655) |
Additional Taxonomies | 202K00000X Phlebology (Licence: AK 6365) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2023-03-07 |