NPI | 1356323398 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 202K00000X Phlebology (Licence: IL 036096961) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036096961) |
2086S0129X Surgery Vascular Surgery (Licence: IL 036096961) | |
2086S0129X Surgery Vascular Surgery (Licence: IN 01062181A) | |
Enumeration Date | 2005-11-16 |
Last Update Date | 2024-04-25 |