| NPI | 1548581408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036131660) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: SD 14378) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2023-07-17 |