NPI | 1245219641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036097485) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036097485) |
Enumeration Date | 2006-01-13 |
Last Update Date | 2022-04-27 |