| NPI | 1245273549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: NY 281411) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: IL 036-112592) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2017-10-25 |