| NPI | 1730166992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MN 35464) |
| Additional Taxonomies | 202K00000X (Licence: IL 036143875) |
| 208600000X Surgery (Licence: MN 35464) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: IL 036143875) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2023-06-19 |