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 |