| NPI | 1043215148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036094341) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IN 02002492A) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2015-03-03 |