| NPI | 1942249586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: TX P8193) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P8193) |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: MD H0061705) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-03-16 |