NPI | 1689680522 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 202K00000X Phlebology (Licence: CA A65321) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A65321) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2024-06-18 |