| NPI | 1982601423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: AL MD26506) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL MD.26506) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2018-03-17 |