| NPI | 1114181658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-117220) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036117220) |
| 2086S0129X Surgery, Vascular Surgery (Licence: TN 59517) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2021-12-29 |