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 | 2024-09-28 |