| NPI | 1043453806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: IL 036141475) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036141475) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2019-05-06 |