| NPI | 1497741409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS15763) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH oh340038490) |
| 202K00000X Phlebology (Licence: FL OS15763) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2025-02-15 |