| NPI | 1699734186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036046231) |
| Additional Taxonomies | 202K00000X (Licence: IL 036-046231) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2008-05-20 |