| NPI | 1023037934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036170580) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NY 232236) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-12-10 |