| NPI | 1528129715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MA 231144) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036.128282) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-11-12 |