| NPI | 1699858068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 36123015) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OR MD154236) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2020-01-06 |