| NPI | 1356322051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 11295) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: MS 11295) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2017-11-28 |