| NPI | 1558314575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 34791) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: NC 34791) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-01-02 |