| NPI | 1639357585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036142655) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036142655) |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2024-11-25 |