| NPI | 1265921407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125072901) |
| 2086S0129X Surgery, Vascular Surgery (Licence: IL 036166208) | |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2023-12-27 |