| NPI | 1356323398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X (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 |