| NPI | 1538314661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: NV 13661) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 13661) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2022-03-08 |