NPI | 1952367534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 202K00000X Phlebology (Licence: KS 0428268) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0428268) |
Enumeration Date | 2006-04-24 |
Last Update Date | 2007-07-08 |