| NPI | 1083674170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036087693) |
| Additional Taxonomies | 202K00000X (Licence: IL 036087693) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2010-07-08 |