NPI | 1316956444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 202K00000X Phlebology (Licence: TX G9695) |
Additional Taxonomies | 208D00000X General Practice (Licence: TX G9695) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2016-03-31 |