| NPI | 1154317683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA C51028) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036111288) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2021-10-27 |