| NPI | 1033281506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036105600) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036105600) |
| 208600000X Surgery (Licence: IL 036105600) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: IL 036105600) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-06-19 |