| NPI | 1295721728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OR md163559) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036098592) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2019-05-15 |