| NPI | 1568570158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036091607) |
| Additional Taxonomies | 174400000X Specialist |
| 208600000X Surgery (Licence: IL 036091607) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2021-01-08 |