| NPI | 1326117383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036083079) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036083079) |
| 208600000X Surgery (Licence: IL 036-135695) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: IL 036-135695) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2022-09-28 |