| NPI | 1306976048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036.118672) |
| Additional Taxonomies | 208600000X Surgery (Licence: DE C7-0002433) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-11-19 |