| NPI | 1679505242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036-088324) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CO CDR.0002094) |
| 2086S0129X Surgery, Vascular Surgery (Licence: TN 64277) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: SC 89230) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-05-12 |