| NPI | 1366531303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: MT 3821) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 3821) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-02-09 |