| NPI | 1720131964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: IL 036067121) |
| Additional Taxonomies | 202K00000X Phlebology (Licence: IL 036067121) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2019-10-25 |